<!DOCTYPE html>
<html>
<meta charset="utf-8">
<head th:include="include :: header"></head>
<body class="gray-bg">
	<div class="wrapper wrapper-content ">
		<div class="row">
			<div class="col-sm-12">
				<div class="ibox float-e-margins">
					<div class="ibox-content">
						<form class="form-horizontal m-t" id="signupForm">
						<input id="aid" name="aid" th:value="${workApply.aid}"  type="hidden">
							<div class="form-group">	
								<label class="col-sm-3 control-label">医生id：</label>
								<div class="col-sm-8">
									<input id="did" name="did" th:value="${workApply.did}" class="form-control" type="text">
								</div>
							</div>
														<div class="form-group">	
								<label class="col-sm-3 control-label">医生姓名：</label>
								<div class="col-sm-8">
									<input id="dname" name="dname" th:value="${workApply.dname}" class="form-control" type="text">
								</div>
							</div>
														<div class="form-group">	
								<label class="col-sm-3 control-label">排班id：</label>
								<div class="col-sm-8">
									<input id="wid" name="wid" th:value="${workApply.wid}" class="form-control" type="text">
								</div>
							</div>
														<div class="form-group">	
								<label class="col-sm-3 control-label">原因：</label>
								<div class="col-sm-8">
									<input id="reason" name="reason" th:value="${workApply.reason}" class="form-control" type="text">
								</div>
							</div>
														<div class="form-group">	
								<label class="col-sm-3 control-label">医生这天上午或下午的号源数：</label>
								<div class="col-sm-8">
									<input id="applytime" name="applytime" th:value="${workApply.applytime}" class="form-control" type="text">
								</div>
							</div>
														<div class="form-group">	
								<label class="col-sm-3 control-label">状态：申请出诊，申请停诊：</label>
								<div class="col-sm-8">
									<input id="request" name="request" th:value="${workApply.request}" class="form-control" type="text">
								</div>
							</div>
														<div class="form-group">	
								<label class="col-sm-3 control-label">状态：等待处理，同意，拒绝：</label>
								<div class="col-sm-8">
									<input id="state" name="state" th:value="${workApply.state}" class="form-control" type="text">
								</div>
							</div>
																					<div class="form-group">
								<div class="col-sm-8 col-sm-offset-3">
									<button type="submit" class="btn btn-primary">提交</button>
								</div>
							</div>
						</form>
					</div>
				</div>
			</div>
	</div>
	</div>
	<div th:include="include::footer"></div>
	<script type="text/javascript" src="/js/appjs/yygl/workApply/edit.js">
	</script>
</body>
</html>
